<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232016000100006</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232016000100006</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Avaliação das ações da vigilância de contatos domiciliares de pacientes com hanseníase no Município de Igarapé-Açu, Estado do Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of surveillance actions of household contacts of patients with leprosy in the City of Igarapé-Açu, Pará State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Evaluación de las acciones de vigilancia de contactos domiciliarios de pacientes con lepra en el Municipio de Igarapé-Açu, Estado de Pará, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lobato]]></surname>
<given-names><![CDATA[Diana da Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neves]]></surname>
<given-names><![CDATA[Dilma Costa de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Xavier]]></surname>
<given-names><![CDATA[Marília Brasil]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaria de Saúde do Estado do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Universitário do Estado do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Estado do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>45</fpage>
<lpage>53</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232016000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232016000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232016000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A redução do risco de adoecimento entre os contatos domiciliares de casos é um dos alvos das ações de vigilância e controle da hanseníase. Esta pesquisa teve como objetivo avaliar as ações de vigilância de contatos de hanseníase no Município de Igarapé-Açu, Estado do Pará, Brasil, no período de 2004 a 2008. Foi realizado um estudo descritivo, retrospectivo, quantitativo e populacional, com informações geradas pelo Sistema Nacional de Agravos de Notificação (Sinan) e por protocolo de pesquisa próprio, tendo sido identificados 128 casos índices no Sinan municipal, dos quais 53 foram resgatados e entrevistados, ocasião em que 133 contatos foram identificados. Entre os casos índices predominaram o sexo feminino (68%), os maiores de 15 anos de idade (79%) e a forma operacional multibacilar (66%). Entre os contatos, a maioria era do sexo masculino (52,63%), tinha ensino fundamental completo (42,10%), solteiros (42,85%), desempregados (55,63%), com renda familiar inferior a um salário mínimo (60,15%) e com uma cicatriz da vacina BCG-ID (67,67%). A taxa de contatos não avaliados foi de 84 (63,16%), e destes, de acordo com a classificação operacional do caso índice, 56 (66,70%) foram contatos de casos multibacilar; 13 (37,14%) dos casos índices multibacilares foram contatos intradomiciliares de casos de hanseníase anteriores ao período estudado. O município estudado apresentou avaliação precária dos contatos intradomiciliares de acordo com os parâmetros do Ministério da Saúde, o que reforça a necessidade da intensificação das ações de vigilância e controle da hanseníase em municípios endêmicos/hiperendêmicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Reducing the risk of sickness among household contacts is one of the aims of the surveillance and leprosy control. This research aimed to evaluate the leprosy contacts of surveillance activities in the Municipality of Igarapé-Açu, Pará State, Brazil, from 2004 to 2008. It was conducted a descriptive, retrospective quantitative and population study with information generated by Notifiable Diseases Information System (Sinan) and a proper research protocol, 128 index cases were identified in Sinan of that city, 53 were rescued and interviewed, in that time 133 contacts were identified. Among the index cases, the ones that predominated were females (68%), people over 15 years old (79%) and the multibacillary operational class (66%). Among the contacts, the majority were male (52.63%) had completed elementary school (42.10%), single people (42.85%), unemployed (55.63%), with family income less than a minimum wage (60.15%) and with a scar of BCG-ID vaccination (67.67%). The rate of non-evaluated contacts was 84 (63.16%), and of these, according to the operational classification of the index case, 56 (66.70%) were contacts of multibacillary cases; 13 (37.14%) of multibacillary index cases were household contacts of leprosy cases to the previous study period. The city studied presented poor evaluation of household contacts according to the parameters of the Ministry of Health, which reinforces the necessity to increase the surveillance and leprosy control in endemic/hyperendemic municipalities.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La reducción del riesgo de enfermar entre los contactos domiciliarios de casos es una de las metas de las acciones de vigilancia y control de la lepra. Esta investigación tuvo como objetivo evaluar las acciones de vigilancia de contactos de lepra en el Municipio de Igarapé-Açu, Estado de Pará, Brasil, en el período de 2004 a 2008. Se realizó un estudio descriptivo, retrospectivo, cuantitativo y poblacional, con informaciones generadas por el Sistema Nacional de Agravamientos de Notificación (Sinan) y por protocolo propio de investigación, habiéndose identificado 128 casos índices en el Sinan municipal, de los cuales 53 fueron rescatados y entrevistados, ocasión en la que 133 contactos fueron identificados. Entre los casos índices predominó el sexo femenino (68%), las personas mayores de 15 años (79,00%) y la forma operacional multibacilar (66%). Entre los contactos, la mayoría era del sexo masculino (52,63%), con enseñanza primaria completa (42,10%), solteros (42,85%), desempleados (55,63%), con renta familiar inferior a un sueldo mínimo (60,15%) y con una cicatriz de la vacuna BCG-ID (67,67%). La tasa de contactos no evaluados fue de 63,16% (84), y de ellos, de acuerdo con la clasificación operacional del caso índice, 66,70% (56) fueron contactos de casos multibacilares; 37,14% (13) de los casos índices multibacilares fueron contactos intradomiciliarios de casos de lepra anteriores al período estudiado. El municipio estudiado presentó una evaluación precaria de los contactos intradomiciliarios de acuerdo a los parámetros del Ministerio de Salud, lo que refuerza la necesidad de la intensificación de las acciones de vigilancia y control de la lepra en municipios endémicos/hiperendémicos.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hanseníase]]></kwd>
<kwd lng="pt"><![CDATA[Vigilância em Saúde Pública]]></kwd>
<kwd lng="pt"><![CDATA[Transmissão de Doença Infecciosa]]></kwd>
<kwd lng="en"><![CDATA[Leprosy]]></kwd>
<kwd lng="en"><![CDATA[Public Health Surveillance]]></kwd>
<kwd lng="en"><![CDATA[Disease Transmission, Infectious]]></kwd>
<kwd lng="es"><![CDATA[Lepra]]></kwd>
<kwd lng="es"><![CDATA[Vigilancia en Salud Pública]]></kwd>
<kwd lng="es"><![CDATA[Transmisión de Enfermedad Infecciosa.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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